Cipriano Annarosa, Aprea Cristina, Bellone Ludovica, Cotrufo Paolo, Cella Stefania
Observatory on Eating Disorders, Department of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Front Psychiatry. 2022 Jan 13;12:737544. doi: 10.3389/fpsyt.2021.737544. eCollection 2021.
Non-suicidal self-injury (NSSI) constitutes a major health concern among youth. However, less is known about the useful ways to prevent NSSI. As such, the NSSI- Peer Education Program (NSSI-PEP) aims to intervene on the vulnerability factors that predispose to NSSI by applying a peer education approach. The NSSI-PEP is grounded on the psychoanalytic tradition's tenets, implementing modules targeting four crucial risk factors for NSSI: pubertal transformation, body image, self-esteem, and emotion regulation. Selected 8 grade students were trained to serve as peer educators and held a peer-education intervention for 6 and 7 grade students. Pre- and post-intervention assessments were conducted in order to evaluate the program's effectiveness. Results revealed preliminary support for the program's feasibility, as students reported greater emotion regulation abilities ( = 0.038) and significant changes in self-esteem (<01), personal alienation ( = 0.005), body image ( < 0.001), and maturity fear ( < 0.001). Also, NSSI-PEP was positively evaluated by participants. Our pilot study provides preliminary empirical support for the NSSI-PEP, representing a promising way to address areas of vulnerability for NSSI onset. Findings may also help current policies to promote targeted preventive activities and produce sizable benefits to society.
非自杀性自伤行为(NSSI)是青少年健康领域的一个主要问题。然而,关于预防NSSI的有效方法,我们了解得还比较少。因此,非自杀性自伤同伴教育项目(NSSI-PEP)旨在通过采用同伴教育方法,干预导致NSSI的易感性因素。NSSI-PEP基于精神分析传统的原则,实施针对NSSI四个关键风险因素的模块:青春期转变、身体意象、自尊和情绪调节。挑选八年级学生接受培训成为同伴教育者,并对六、七年级学生进行同伴教育干预。在干预前后进行评估,以评估该项目的效果。结果显示该项目具有初步可行性,因为学生报告说情绪调节能力有所提高(=0.038),自尊(<0.01)、个人疏离感(=0.005)、身体意象(<0.001)和成熟恐惧(<0.001)都有显著变化。此外,参与者对NSSI-PEP给予了积极评价。我们的试点研究为NSSI-PEP提供了初步的实证支持,这是解决NSSI发病易感性领域问题的一种有前途的方法。研究结果也可能有助于现行政策推动有针对性的预防活动,并为社会带来可观的益处。